Athlete’s Heart vs. Cardiomyopathy

Athlete's Heart vs. Cardiomyopathy

Linda D. Gillam, MD, MPH, FASE Chair, Department of Cardiovascular Medicine Medical Director, Cardiovascular Service Line Former Team Cardiologist to the New York Jets

10/2/2017

No disclosures

1

Sports Cardiology at Morristown

10/2/2017

Mat Martinez, MD, FACC Director of Sports Cardiology Official Cardiologist to the New York

Jets

Questions asked of Echo

? Is increased wall thickness physiologic or pathologic?

? Are increased dimensions physiologic or pathologic?

? Is "reduced" function physiologic or pathologic?

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10/2/2017

Is this normal or abnormal?

? Can this patient play sports (make a living, take a scholarship)?

? Does this patient need a defibrillator? ? Are there genetic/family implications to

my decision? ? What is the prognosis?

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CAUSE OF SCA IN YOUNG ATHLETES

(N=387, BASED ON AUTOPSY REPORTS

10/2/2017

Causes of SCD

? Structural ? Electrical ? Other

? Commotio cordis ? Myocarditis, dcm

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10/2/2017

Corrado: J Am CollCard 2003

Thanks to Mat Martinez, MD 5

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